PSW · Nursing Care Study Guide

PSW Nursing Care Study Guide 2026 — Free Cheat Sheet

English

Everything you need to pass your PSW Nursing Care exam: key topics, the rules examiners test, and exam-style practice questions.

Ontario PSW · 80 topics · Updated 2026-10-24

Practice PSW Nursing Care questions →
📚 Table of Contents
  1. VLO 1: Work Within the Personal Support Worker Role
  2. VLO 11: Support Family and Child Care
  3. VLO 1: Work within the PSW role in various care settings
  4. VLO 11: Family and Child Care Support (Elements D-E)
  5. VLO 12: Identify, Respond to and Report Abuse and Neglect
  6. VLO 2: Practice Professionally and Be Accountable
  7. VLO 2: Practice professionally and be accountable for one's own actions
  8. VLO 13: Palliative and End-of-Life Care
  9. VLO 3: Practice as an Engaged Interprofessional Team Member
  10. VLO 3: Practice as an engaged member of the interprofessional team
  11. VLO 4: Provide Person-Centred Care Based on Ethical Principles
  12. VLO 14: Mental Health, Cognitive Impairment and Responsive Behaviours

📋 Disclaimer: This guide is compiled from official study materials and public sources for educational purposes only. It does not constitute legal or professional advice. Rules and regulations change — always refer to the official materials issued by your licensing authority. Test4X assumes no liability for decisions made based on this material. Test4X is independent and is not affiliated with, endorsed by, or sponsored by any exam authority; all trademarks are the property of their respective owners.

1.VLO 1: Work Within the Personal Support Worker Role

📌

Role of PSW in Person-Centred and Person-Directed Care

ethics

Identifying the personal support worker's role in the workplace setting in providing person-centred and person-directed care.

Key Rules
  • ✓Identify and discuss the concepts and skills related to person-centred and person-directed care
  • ✓Discuss the concept of reflection and quality improvement as it relates to the personal support worker role
📌

Roles of Unregulated Care Providers vs Regulated Professionals

ethics

Comparing roles and responsibilities between unregulated care providers and regulated health professionals.

Key Rules
  • ✓Identify and discuss the roles and responsibilities of regulated/unregulated health providers as outlined by the Regulated Health Professions Act, 1991 and the Long-Term Care Homes Act, 2007
  • ✓Describe their own role as a personal support worker and discuss how they may interact with the tasks and responsibilities of other regulated/unregulated health providers
📌

Perform PSW Skills Safely per Legislation

ethics

Performing PSW skills proficiently and safely as set by applicable legislation, employer job descriptions and policies.

Key Rules
  • ✓Identify and comply with legislation relevant to care settings including the Occupational Health and Safety Act, R.S.O. 1990; Retirement Homes Act, 2010; Mental Health Act, R.S.O 1990; Long-Term Care Homes Act, 2007; the Regulated Health Professions Act, 1991 and Home Care and Community Services Act, 1994
📌

Risks of Performing Tasks Outside Scope

ethics

Identifying possible risks and consequences of performing tasks other than in accordance with employer job description, policies, guidelines and legislation.

Key Rules
  • ✓Locate and follow information, policies and guidance related to tasks performed as a personal support worker
  • ✓Perform all tasks based on identifying and discussing potential risks to clients including the performance of any controlled acts in specified circumstances
📌

Adapt Skill Set to Different Care Settings

personalcare

Adapting the PSW skill set to meet varied role expectations in different facility-based and community-based care settings.

Key Rules
  • ✓Identify and compare the skills and level of care required in a variety of care settings where personal support workers work
  • ✓Discuss the impact of different care settings on the role expectations of a personal support worker
📌

Follow Employer Policies and Procedures

ethics

Locating, identifying and following employer's policies and procedures that apply to the PSW role.

Key Rules
  • ✓Discuss a variety of employer policies and procedures, including the job description, that apply to the personal support worker role

2.VLO 11: Support Family and Child Care

📌

Identify and resolve interpersonal conflicts in care setting

familygrowth

The topic covers recognizing conflicts among clients, family members and support workers, attempting resolution with appropriate resources, and reporting to the interprofessional team.

Key Rules
  • ✓Identify conflicts between clients, other family members and support workers, attempt to resolve using appropriate resources, and report to the interprofessional team
  • ✓Identify and respond appropriately to the potential emotional impact on the client of the personal support worker's presence and duties, and report to the interprofessional team
📌

Assist families with provision of child care

familygrowth

The topic addresses supporting clients and families with child care in accordance with the established plan of care.

Key Rules
  • ✓Identify and support basic child development and normal developmental milestones
  • ✓Identify the role of the personal support worker in the provision of support to the family with children
  • ✓Complete care of children including assisting with IADLs and ADLs
📌

Support family caregivers to balance care and rest

familygrowth

The topic covers assisting family members with strategies to balance caregiving and rest in accordance with the plan of care.

Key Rules
  • ✓Describe common challenges associated with family caregiving including caregiver strain and/or altered family roles, and apply this knowledge to interactions with family members

3.VLO 1: Work within the PSW role in various care settings

📌

Identify the PSW role in providing person-centred care

ethics

Covers understanding the personal support worker's role in the workplace setting when providing person-centred and person-directed care.

Key Rules
  • ✓Identify and discuss the concepts and skills related to person-centred and person-directed care
  • ✓Discuss the concept of reflection and quality improvement as it relates to the personal support worker role
📌

Compare roles of unregulated and regulated providers

ethics

Covers identifying and comparing roles and responsibilities between unregulated care providers and regulated health professionals.

Key Rules
  • ✓Identify and discuss the roles and responsibilities of regulated/unregulated health providers as outlined by the Regulated Health Professions Act, 1991 and the Long-Term Care Homes Act, 2007
  • ✓Describe their own role as a personal support worker and how they may interact with tasks and responsibilities of other regulated/unregulated health providers
📌

Perform PSW skills proficiently and safely per legislation

ethics

Covers performing PSW skills proficiently and safely as set by applicable legislation and employer job descriptions and policies.

Key Rules
  • ✓Identify and comply with legislation relevant to care settings including the Occupational Health and Safety Act, R.S.O. 1990; Retirement Homes Act, 2010; Mental Health Act, R.S.O 1990; Long-Term Care Homes Act, 2007; Regulated Health Professions Act, 1991 and Home Care and Community Services Act, 1994
📌

Identify risks of performing tasks outside role

ethics

Covers identifying possible risks and consequences of performing tasks other than in accordance with employer job description, policies, guidelines or legislation.

Key Rules
  • ✓Locate and follow information, policies and guidance related to tasks performed as a personal support worker
  • ✓Perform all tasks based on identifying potential risks to clients including controlled acts in specified circumstances following legislation, employer policies, worker's competence and supervision from regulated health professionals
📌

Adapt PSW skill set to different care settings

personalcare

Covers adapting the PSW skill set to meet a variety of role expectations in facility-based and community-based care settings within personal competence.

Key Rules
  • ✓Identify and compare the skills and level of care required in a variety of care settings
  • ✓Discuss the impact of different care settings on the role expectations of a personal support worker
📌

Locate and follow employer policies and procedures

ethics

Covers locating, identifying and following employer's policies and procedures that apply to the PSW role.

Key Rules
  • ✓Discuss a variety of employer policies and procedures, including the job description, that apply to the personal support worker role

4.VLO 11: Family and Child Care Support (Elements D-E)

📌

Assist with provision of child care

familygrowth

Covers supporting clients and families with child care in accordance with the established plan of care.

Key Rules
  • ✓Identify and support basic child development and normal developmental milestones
  • ✓Identify the role of the personal support worker in the provision of support to the family with children
  • ✓Complete care of children including assisting with IADLs and ADLs
📌

Support family members balancing caregiving and rest

familygrowth

Covers assisting family members as they follow strategies to balance caregiving and rest per the plan of care.

Key Rules
  • ✓Describe common challenges associated with family caregiving including caregiver strain and/or altered family roles, and apply this knowledge to interactions with family members

5.VLO 12: Identify, Respond to and Report Abuse and Neglect

📌

Identify clients at risk for or experiencing abuse or neglect

ethics

The topic addresses recognizing clients at risk for or experiencing various forms of abuse and neglect and reporting observations promptly to supervisor.

Key Rules
  • ✓Define abuse and family violence
  • ✓Discuss and comprehend the concept of abuse as an issue of power and control applying to infants, children, spouses/partners, older adults, persons with disabilities, individuals with mental illnesses, cognitive impairment and their caregivers
  • ✓Identify factors associated with abuse and family violence and report observations promptly to supervisor
  • ✓Identify the indicators of various forms of abuse and report observations promptly to supervisor
📌

Actions and legal obligations for reporting abuse

ethics

The topic covers actions taken when clients are at risk of or have experienced abuse or neglect, including legal reporting obligations under applicable legislation.

Key Rules
  • ✓Identify the role of the personal support worker if neglect and/or abuse are alleged or suspected, including the requirement to report to one's supervisor and to provide thorough documentation
  • ✓Discuss and comprehend the legal obligation to report where clients are at risk of, or alleged/suspected to be victims of, or where neglect/abuse are witnessed
  • ✓Discuss the practice of zero tolerance, the policies and legislation ensuring compliance, and whistle blowing protection
  • ✓Identify appropriate resources and course of action if neglect and/or abuse are suspected in all settings where personal support workers are employed
📌

Identify risks of abuse or harm to the worker

ethics

The topic addresses identifying risks of abuse or personal harm to the personal support worker and reporting observations promptly to supervisors.

Key Rules
  • ✓Identify relevant legislative provisions and requirements concerning safe working environments
  • ✓Describe the personal support worker's right to a safe working environment free from verbal, emotional and physical violence
  • ✓Identify situations where the personal support worker may be at risk for abuse or personal harm, including client refusal of treatment
  • ✓Discuss and comprehend workplace bullying, sexual abuse and harassment, reporting mechanisms and policies including whistle-blowing protection
  • ✓Discuss the implications and appropriateness of work refusal, its impact on the client, and required steps
📌

Report situations of neglect and abuse per legislation

ethics

The topic covers identifying and reporting situations of neglect and abuse involving client, family or caregiver following applicable legislation and employer policies.

Key Rules
  • ✓Locate and adhere to agency policies related to the documentation and reporting of neglect and/or abuse
  • ✓Adhere to legislation and employer practices and policies which promote zero tolerance of neglect and abuse and a violence free environment
📌

Identify clients at risk for or experiencing abuse

ethics

Covers identifying clients at risk for or experiencing neglect and various forms of abuse and reporting observations promptly to the supervisor.

Key Rules
  • ✓Define abuse and family violence
  • ✓Discuss and comprehend the concept of abuse as an issue of power and control applying to infants, children, spouses/partners, older adults, persons with disabilities, individuals with mental illnesses, cognitive impairment and their caregivers
  • ✓Identify factors associated with abuse and family violence and report observations promptly to supervisor
  • ✓Identify the indicators of various forms of abuse and report observations promptly to supervisor
📌

Identify risks of abuse or harm to the PSW

ethics

Covers identifying risks of abuse or personal harm to the personal support worker and reporting observations promptly to supervisors.

Key Rules
  • ✓Identify relevant legislative provisions and requirements concerning safe working environments
  • ✓Describe the PSW's right to a safe working environment free from verbal, emotional and physical violence
  • ✓Identify situations where the PSW may be at risk for abuse or personal harm, including where the client refuses treatment
  • ✓Discuss workplace bullying, sexual abuse and harassment, reporting mechanisms and policies including whistle-blowing protection
  • ✓Discuss the implications and appropriateness of work refusal, its impact on the client, and required steps

6.VLO 2: Practice Professionally and Be Accountable

📌

Practice Independently and as Team Member

ethics

Practicing within the PSW role both independently and as a member of the interprofessional team.

Key Rules
  • ✓Assume responsibility for one's own actions; acknowledge and report mistakes, take corrective action, and reflect and implement strategies to prevent repetition of mistakes
  • ✓Recognize when actions and/or approaches exceed one's knowledge, skills and abilities and seek appropriate guidance
📌

Apply Critical Thinking and Problem Solving

cognitive

Applying principles of critical thinking to make decisions and solve problems as an individual and as a team member.

Key Rules
  • ✓Use a systematic approach to problem-solving and critical thinking both as an individual care provider and as a member of the interprofessional team
  • ✓Select and implement the most appropriate strategies based on care setting policies and consultation, as necessary
📌

Reflective Practice for the PSW

ethics

Identifying components and relevance of reflective practice for the personal support worker.

Key Rules
  • ✓Identify gaps in knowledge and skills to support clients and take ownership and responsibility to find resources to address them
  • ✓Identify personal strengths, needs, and areas of improvement
  • ✓Refer issues beyond one's role to the appropriate member of the interprofessional team
  • ✓Take initiative in pursuing lifelong learning
📌

Identify When Additional Training Is Required

ethics

Identifying when additional training is required, seeking guidance, and taking actions to attain required knowledge and skills.

Key Rules
  • ✓Identify procedures that are not included in educational or training curriculum and thus require additional training, recognizing these additional skills may be taught in a specific work situation and may be specific to a client
📌

Exhibit Professional Success Behaviours

ethics

Exhibiting behaviours that contribute to professional success such as reliability, attendance, punctuality and appropriate appearance.

Key Rules
  • ✓Give reasonable notice if changes need to be made in the work schedule
  • ✓Treat the belongings of clients with respect and care
  • ✓Complete work as assigned and notify appropriate person if unable to do so
  • ✓Dress appropriately for safety and according to employer dress code guidelines
📌

Apply Time Management Skills

cognitive

Identifying and applying time management skills in day-to-day work.

Key Rules
  • ✓Balance multiple demands within an assigned time frame
  • ✓Set priorities in keeping with safe work practices
  • ✓Use organizational skills to enhance work efficiency
  • ✓Recognize when time constraints and complexity of duties requires extra time and notify client and/or appropriate person
📌

Manage Stress in the PSW Role

health

Identifying and using resources and techniques to manage stress in the personal support worker role.

Key Rules
  • ✓Identify signs of stress in themselves, coworkers, clients and primary caregivers
  • ✓Discuss potential sources of stress and physiological and behavioural manifestations of prolonged stress
  • ✓Identify and apply appropriate techniques to manage personal stress
  • ✓Identify and make use of workplace resources to achieve work-life balance
  • ✓Encourage peer support opportunities

7.VLO 2: Practice professionally and be accountable for one's own actions

📌

Practice within PSW role independently and as team member

ethics

Covers practising within the PSW role both independently and as a member of the interprofessional team while being accountable.

Key Rules
  • ✓Assume responsibility for one's own actions; acknowledge and report mistakes, take corrective action, and implement strategies to prevent repetition
  • ✓Recognize when actions or approaches exceed one's knowledge, skills and abilities and seek appropriate guidance
📌

Apply critical thinking to decisions and problem-solving

cognitive

Covers applying principles of critical thinking to make decisions and solve problems as an individual and as a team member.

Key Rules
  • ✓Use a systematic approach to problem-solving and critical thinking
  • ✓Select and implement the most appropriate strategies based on care setting policies and consultation
📌

Identify components and relevance of reflective practice

cognitive

Covers identifying components and relevance of reflective practice for the personal support worker.

Key Rules
  • ✓Identify gaps in knowledge and skills and take ownership to find resources
  • ✓Identify personal strengths, needs, and areas of improvement
  • ✓Refer issues beyond one's role to the appropriate team member
  • ✓Take initiative in pursuing lifelong learning
📌

Identify when additional training is required

cognitive

Covers identifying when additional training is required, seeking guidance and taking actions to attain required knowledge and skills.

Key Rules
  • ✓Identify procedures not included in curriculum that require additional training, recognizing these may be taught in a specific work situation or be client-specific
📌

Exhibit behaviours contributing to professional success

ethics

Covers exhibiting behaviours such as reliability, attendance, punctuality, time management, and appropriate appearance that reflect positively on the role.

Key Rules
  • ✓Give reasonable notice if changes need to be made in the work schedule
  • ✓Treat the belongings of clients with respect and care
  • ✓Complete work as assigned and notify appropriate person if unable
  • ✓Dress appropriately for safety and according to employer dress code
📌

Identify and apply time management skills

cognitive

Covers identifying and applying time management skills in day-to-day work.

Key Rules
  • ✓Balance multiple demands within an assigned time frame
  • ✓Set priorities in keeping with safe work practices
  • ✓Use organizational skills to enhance work efficiency
  • ✓Recognize when time constraints require extra time and notify appropriate person
📌

Identify resources and techniques to manage stress

cognitive

Covers identifying and using resources and techniques to manage stress in the PSW role.

Key Rules
  • ✓Identify signs of stress in themselves, coworkers, clients and primary caregivers
  • ✓Discuss potential sources of stress and manifestations of prolonged stress
  • ✓Identify and apply techniques to manage personal stress
  • ✓Make use of workplace resources for work-life balance
  • ✓Encourage peer support opportunities

8.VLO 13: Palliative and End-of-Life Care

📌

Apply terms and principles of palliative care

health

The topic covers identifying and applying terms, principles and practices related to a palliative approach to care, palliative care, hospice care and end-of-life care.

Key Rules
  • ✓Discuss the role of the interprofessional team and individual members in palliative care delivery
  • ✓Describe common patterns of decline associated with dying
  • ✓Define and discuss the principles, practices and benefits of a palliative approach to care, palliative care, hospice care, and end-of-life care
📌

Identify grief and strategies to support grieving

health

The topic addresses recognizing grief as a natural, adaptive, individual response to loss and identifying strategies to support clients and families in grieving.

Key Rules
  • ✓Reflect on personal attitudes and experiences related to loss, grief, dying and death
  • ✓Discuss how personal beliefs and attitudes can impact clients' care
  • ✓Describe grief as an expected, natural, adaptive, whole person response to loss experienced uniquely by each person
  • ✓Discuss grief as occurring from time of diagnosis through death and bereavement
  • ✓Identify and discuss the impact of historical trauma and other factors that increase the risk of complicated grief
  • ✓Discuss the impact of life-limiting/life-threatening illnesses and associated patterns of decline and dying
  • ✓Reflect on the many dimensions and feelings associated with grief and dying
📌

Support clients and families with dying and death preparation

health

The topic covers supporting clients and families with the process of dying and preparation for death within the personal support worker role.

Key Rules
  • ✓Develop and maintain supportive and therapeutic relationships through connecting, communicating, and establishing professional boundaries
  • ✓Provide emotional support by considering every person as worthy of respect, connecting, listening, offering empathy, asking open-ended questions and being compassionate
  • ✓Identify strategies to advocate for clients and families in collaboration with the interprofessional team
  • ✓Identify and discuss the personal support worker's role when clients die suddenly
  • ✓Identify the role of the coroner in situations of sudden and unexpected death
📌

Enable clients to direct care and maintain relationships

health

The topic addresses providing clients opportunities to direct their own care and maintain relationships with their families.

Key Rules
  • ✓Identify clients' needs and right to maintain choices while living with life-limiting/life-threatening illnesses
  • ✓Identify clients' and family needs by observing, listening, asking questions and seeking to understand unique perspectives
  • ✓Support family relationships, help maintain roles, and support desire/plans for rituals and cultural practices
  • ✓Support clients who wish to express wishes and concerns and discuss goals of care with the most appropriate health care professional
  • ✓Respond to clients' inquiries about Medical Assistance In Dying (MAID) in accordance with legislation and employer policies, and respect client's rights
📌

Observe, record and report pain and symptoms

health

The topic covers observing, recording and reporting clients' signs and expressions of pain and other symptoms in accordance with the plan of care.

Key Rules
  • ✓Observe, record and report on clients' level of ambulation, activity, self-care, intake, and level of consciousness using standardized and communication tools (e.g., flow sheets, graphs, SBAR)
  • ✓Identify common symptoms experienced by the dying person
  • ✓Use standardized tools to gather information, record and report clients' condition, pain, difficulty with breathing, and other symptoms
📌

Identify rights related to advance care planning and consent

ethics

The topic addresses identifying the rights of clients, family, substitute decision-makers or powers of attorney regarding advance care planning, goals of care discussions and consent in alignment with legislation.

Key Rules
  • ✓Support individual and family choices pertaining to end-of-life care in alignment with the Health Care Consent Act and Substitute Decisions Act
  • ✓Discuss the role of family members and substitute decision-makers in end-of-life care
  • ✓Identify applicable legislation relating to substitute decision-makers or powers of attorney regarding consent to treatment
  • ✓Discuss the ethical issues that may arise and bring them to the interprofessional team if beyond the scope of the personal support worker
📌

Support clients and families in last days and hours

health

The topic covers supporting clients and families in the last days and hours, including respect for spiritual and cultural practices related to dying, death and the afterlife.

Key Rules
  • ✓Identify and report physical changes experienced in the last days and hours and signs of imminent death
  • ✓Support clients and families by being present, and providing care and comfort measures during the last days and hours of life
  • ✓Provide care for the body after death according to family direction/cultural practices, employer policy or plan of care
  • ✓Provide support to families at the time of clients' death and following
  • ✓Provide opportunities for the person and family to exercise religious, cultural and spiritual rituals throughout the illness trajectory and bereavement
📌

Terms, principles and practices of palliative care

health

Covers identifying and applying terms, principles and practices related to a palliative approach to care, palliative care, hospice care, and end-of-life care.

Key Rules
  • ✓Discuss the role of the interprofessional team and its individual members in palliative care delivery
  • ✓Describe common patterns of decline associated with dying
  • ✓Define and discuss the principles, practices and benefits of a palliative approach to care, palliative care, hospice care, and end-of-life care
📌

Grief as a natural response and grieving support

health

Covers identifying grief as a natural, adaptive, individual response to loss and strategies to support clients and families in grieving.

Key Rules
  • ✓Reflect on personal attitudes and experiences related to loss, grief, dying and death
  • ✓Discuss how personal beliefs and attitudes can impact clients' care
  • ✓Describe grief as an expected, natural, adaptive, whole person response to loss experienced uniquely by each person
  • ✓Discuss grief as occurring from diagnosis through death and bereavement
  • ✓Identify and discuss impact of historical trauma and factors increasing risk of complicated grief
  • ✓Discuss impact of life-limiting/life-threatening illnesses and patterns of decline on clients, families and the PSW
  • ✓Reflect on the many dimensions and feelings associated with grief and dying
📌

Support clients and families with the dying process

health

Covers supporting clients and families with the process of dying and preparation for death within the PSW role.

Key Rules
  • ✓Develop and maintain supportive and therapeutic relationships through connecting, communicating and establishing professional boundaries
  • ✓Provide emotional support by respecting every person, connecting, listening, offering empathy and being compassionate
  • ✓Identify strategies to advocate for clients and families in collaboration with the interprofessional team
  • ✓Identify and discuss the PSW's role when clients die suddenly
  • ✓Identify the role of the coroner in situations of sudden and unexpected death
📌

Clients directing their own care and relationships

health

Covers providing clients opportunities to direct their own care and maintain relationships with their families.

Key Rules
  • ✓Identify clients' needs and right to maintain choices while living with life-limiting/life-threatening illnesses
  • ✓Identify clients' and family needs by observing, listening, asking questions and understanding unique perspectives
  • ✓Support family relationships, help maintain roles, and support desire/plans for rituals and cultural practices
  • ✓Support clients who wish to express wishes, ask questions and discuss goals of care with appropriate professionals
  • ✓Respond to clients' inquiries about Medical Assistance In Dying (MAID) per legislation and employer policies
📌

Rights related to advance care planning and consent

ethics

Covers identifying the rights of clients, family members, substitute decision-makers or POAPC in relation to advance care planning, goals of care discussions and consent to treatment.

Key Rules
  • ✓Support individual and family choices pertaining to end-of-life care in alignment with relevant legislation
  • ✓Discuss the role of family members and substitute decision-makers in end-of-life care
  • ✓Identify applicable legislation relating to substitute decision-makers or POA for personal care regarding consent
  • ✓Discuss ethical issues that may arise and bring them to the interprofessional team if beyond the PSW scope
📌

Provide non-pharmacological comfort measures

personalcare

The topic addresses providing non-pharmacological comfort measures to clients experiencing symptoms as directed by the plan of care.

Key Rules
  • ✓Identify and provide a range of non-pharmacological comfort measures (e.g., application of heat and cold, positioning, imagery, meditation/silence, music)
  • ✓Seek input from clients for their comfort needs and preferences for comfort measures
📌

Report and record responses to comfort measures

health

The topic covers reporting and recording clients' responses to comfort measures.

Key Rules
  • ✓Seek and record feedback from clients as to their responses to comfort measures and communicate concerns to the team immediately when symptoms are not settling
📌

Integrate self-care practices into daily routines

personalcare

The topic addresses integrating self-care practices into daily routines when caring for dying clients and their families.

Key Rules
  • ✓Explore the rationale for self-care practices, especially when caring for dying clients and their family members
  • ✓Describe emotions, thoughts and behaviours associated with compassion fatigue
  • ✓Identify self-care strategies that prevent compassion fatigue
  • ✓Develop a self-care plan to support health and wellness
📌

Provide culturally safe palliative care for diverse populations

health

The topic covers providing culturally safe palliative care for Indigenous people and minority and underserved populations throughout the illness trajectory and bereavement.

Key Rules
  • ✓Discuss cultural humility, cultural sensitivity, cultural awareness and cultural competence in providing culturally safe palliative care
  • ✓Incorporate First Nations, Inuit and Metis community specific protocols and practices into the provision of palliative care
💬

Culturally safe palliative care for diverse populations

communication

Covers providing culturally safe palliative care for Indigenous people and people from minority and underserved populations throughout the illness trajectory and bereavement.

Key Rules
  • ✓Discuss cultural humility, cultural sensitivity, cultural awareness and cultural competence in culturally safe palliative care
  • ✓Incorporate First Nations, Inuit and Metis community specific protocols and practices into palliative care

9.VLO 3: Practice as an Engaged Interprofessional Team Member

💬

Identify Roles of Interprofessional Team Members

communication

Identifying the roles that interprofessional team members have in the provision of optimal support and care.

Key Rules
  • ✓Describe the roles and responsibilities of employers, supervisors and other care/service providers
  • ✓Describe the personal support worker role and responsibilities within the interprofessional team
  • ✓Describe clients' and family members' roles and responsibilities within the interprofessional team
💬

Develop Respectful Work Relationships

communication

Developing and maintaining respectful working relationships with other interprofessional team members.

Key Rules
  • ✓Identify and describe the characteristics of respectful, effective interprofessional working relationships
  • ✓Work interdependently with team members, communicating regularly, responding to requests, clarifying information and accepting direction
  • ✓Identify and discuss the value of participation in advisory or other groups
  • ✓Work collaboratively with the interprofessional team to meet clients' needs
💬

Communicate Client Information to the Team

communication

Communicating relevant client information to interprofessional team members in an ongoing and timely manner.

Key Rules
  • ✓Communicate with supervisors, registered staff and other professionals on the ongoing condition of clients and care provided
  • ✓Assist the interprofessional team by contributing suggestions regarding clients' plan of care
💬

Work and Learn as Participating Team Member

communication

Working and learning as a participating member of the interprofessional team.

Key Rules
  • ✓Seek out information and request support and guidance from the supervisor or other team members
  • ✓Work together with others to ensure the best client outcomes
  • ✓Assist and provide help to other team members within one's level of knowledge and skill
💬

Accept and Act on Constructive Feedback

communication

Accepting and acting upon constructive feedback from clients, families, supervisors and team members.

Key Rules
  • ✓Differentiate between constructive and destructive feedback
  • ✓Seek out feedback when appropriate to enhance skills and professionalism
  • ✓Reflect on received feedback and implement into one's own practice
💬

Promote Quality and Efficiency of Care

communication

Assisting in promoting the quality, effectiveness and efficiency of care delivered by the interprofessional team.

Key Rules
  • ✓Assist and participate in the development of clients' plan of care
  • ✓Identify ways to improve care through debriefing and other activities
  • ✓Discuss how the PSW can contribute to quality of care and workplace wellness
  • ✓Identify opportunities to participate in committees and groups

10.VLO 3: Practice as an engaged member of the interprofessional team

💬

Identify roles of interprofessional team members

communication

Covers identifying the roles that interprofessional team members have in providing optimal support and care.

Key Rules
  • ✓Describe roles and responsibilities of employers, supervisors and other care/service providers
  • ✓Describe the personal support worker role within the interprofessional team
  • ✓Describe clients' and family members' roles within the interprofessional team
💬

Develop and maintain respectful work relationships

communication

Covers developing and maintaining respectful work relationships with other interprofessional team members.

Key Rules
  • ✓Identify characteristics of respectful, effective working relationships
  • ✓Work interdependently, communicating regularly and accepting direction
  • ✓Discuss the value of participation in advisory or other groups
  • ✓Work collaboratively to meet clients' needs
💬

Communicate relevant client information to the team

communication

Covers communicating relevant client information to interprofessional team members in an ongoing and timely manner.

Key Rules
  • ✓Communicate with supervisors, registered staff and other professionals on client condition and care
  • ✓Assist the team by contributing suggestions regarding clients' plan of care
💬

Work and learn as a participating team member

communication

Covers working and learning as a participating member of the interprofessional team.

Key Rules
  • ✓Seek out information and request support and guidance where appropriate
  • ✓Work together to ensure the best client outcomes
  • ✓Assist other team members within one's level of knowledge and skill
💬

Accept and act upon constructive feedback

communication

Covers accepting and acting upon constructive feedback from clients, families, supervisors and team members.

Key Rules
  • ✓Differentiate between constructive and destructive feedback
  • ✓Seek out feedback when appropriate
  • ✓Reflect on feedback and implement into practice
💬

Promote quality, effectiveness and efficiency of care

communication

Covers assisting in promoting the quality, effectiveness and efficiency of care delivered by the team.

Key Rules
  • ✓Assist and participate in the development of clients' plan of care
  • ✓Identify ways to improve care through debriefing and other activities
  • ✓Discuss how the PSW can contribute to quality of care and workplace wellness
  • ✓Identify opportunities to participate in committees and groups

11.VLO 4: Provide Person-Centred Care Based on Ethical Principles

📌

Respect Autonomy, Dignity, Privacy and Confidentiality

ethics

Respecting the person's right to autonomy, dignity, privacy, preferences, safety, independence and confidentiality at all times.

Key Rules
  • ✓Identify and describe PSW ethics including justice, honesty, integrity, and compassionate caring as found in relevant codes of ethics
  • ✓Identify and describe basic principles of health care ethics including autonomy, justice, beneficence and nonmaleficence
  • ✓Discuss how ethical principles are applied in the PSW role
  • ✓Identify and discuss legislated rights to privacy and confidentiality including PIPEDA, PHIPA 2004, Retirement Homes Act 2010, and Long-Term Care Homes Act 2007
  • ✓Identify implications of using electronic communication and social media
📌

Promote the Person's Independence

personalcare

Promoting the person's independence in a variety of care settings.

Key Rules
  • ✓Differentiate among dependence, independence and interdependence
  • ✓Identify and implement strategies to promote clients' independence in a variety of care settings
📌

Treat Each Client as a Unique Individual

ethics

Treating each client as an individual with a unique personality and physical, emotional, mental, spiritual, social, sexual and cultural needs.

Key Rules
  • ✓Incorporate into care the understanding that clients have unique life experiences and methods of meeting needs
  • ✓Discuss the importance of various needs with clients and apply to care
  • ✓Encourage maintenance of clients' community relationships
  • ✓Discuss significance of changes to condition and report as necessary
  • ✓Respect clients' dignity and right to privacy according to Human Rights Codes
  • ✓Support clients in maintaining activities of interest
📌

Respect Right to Make Choices and Direct Care

ethics

Providing care that respects the person's right to make choices, decisions and direct supportive care according to their abilities.

Key Rules
  • ✓Differentiate between person-centred and person-directed care
  • ✓Identify applicable legislation including Ontario Human Rights Code, Health Care Consent Act 1996, Substitute Decisions Act 1992, Long-Term Care Homes Act 2007
  • ✓Differentiate between reasonable risk-taking and unsafe activities
  • ✓Relate the person's right to make choices to sense of self and dignity
  • ✓Discuss strategies to respond to refusal of care or deviation from plan of care
  • ✓Clarify when a substitute decision-maker is appropriate
  • ✓Seek supervisor direction in conflicts with family and substitute decision-makers
  • ✓Support the person in communicating wants and needs
📌

Provide Culturally Sensitive and Anti-Bias Care

ethics

Providing supportive care that respects unique characteristics including race, ethnicity, culture, religion, gender, sexual orientation and social class.

Key Rules
  • ✓Recognize the PSW's own values and personal attitudes toward other groups
  • ✓Identify cultural significance of clients' health, illness or impending death
  • ✓Identify and respect ways culture may influence communication
  • ✓Identify resources for cultural/spiritual information
  • ✓Recognize impact of discriminatory behaviours and take measures to modify them
  • ✓Explore sources of personal and systemic bias and racism
  • ✓Identify personal strategies to address racism and bias
📌

Respect Client Definitions of Family Structure

familygrowth

Identifying and respecting clients' definitions of family structure and the roles and responsibilities of clients, families and significant others.

Key Rules
  • ✓Identify the role(s) of family and friends and their significance to clients
  • ✓Identify clients' personal expectations about the role of friends and family
  • ✓Identify factors that might affect clients' and family members' acceptance of support

12.VLO 14: Mental Health, Cognitive Impairment and Responsive Behaviours

📌

Identify changes associated with mental health illnesses

cognitive

The topic covers identifying signs of change in clients' perception, memory, judgement, organization, language and motor skills associated with mental health challenges and illnesses and how effects vary with severity.

Key Rules
  • ✓Discuss challenges related to stress, coping and mental health challenges and illnesses
  • ✓Discuss the impact of social media on mental health across the lifespan
  • ✓Discuss the stigma associated with mental illness and how it may impact self-perception, functioning and care
  • ✓Observe and identify changes in behaviour related to mental health, follow the plan of care and advocate for revisions
  • ✓Identify care, intervention and community resources related to mental health conditions including anxiety and affective disorders
  • ✓Support recovery-oriented approaches through which clients regain control, meaning and purpose
  • ✓Discuss misconceptions and stigma and how they impact clients, families and worker perception and functioning
  • ✓Discuss the role of the personal support worker and identify when care and intervention is beyond the role
  • ✓Discuss the impacts of trauma and colonization for Indigenous peoples and the relationships between trauma, addictions and mental health
📌

Identify changes associated with cognitive impairment and dementia

cognitive

The topic covers identifying signs of change in clients' perception, memory, judgement, organization, language and motor skills associated with cognitive and intellectual impairments, delirium and/or dementia.

Key Rules
  • ✓Describe how symptoms/presentation may impact clients' behaviour, personality, self-perception and interactions
  • ✓Observe and identify changes in behaviour and advocate for revisions to the plan of care with the interprofessional team
  • ✓Identify impairments caused by reversible (treatable) and irreversible conditions
  • ✓Identify factors such as illness, fatigue, stress, sensory overload, pain, fear, frustration and depression that further affect functioning
  • ✓Discuss the role of the personal support worker and identify when care and intervention is beyond the role
📌

Use behavioural strategies to de-escalate responsive behaviours

cognitive

The topic addresses using basic behavioural strategies to mitigate or de-escalate clients' responsive behaviours as directed by the plan of care and applicable legislation.

Key Rules
  • ✓Discuss protective and/or responsive behaviours from the clients' and caregivers' perspectives
  • ✓Identify causes and triggers for responsive behaviours and discuss possible solutions
  • ✓Use best practice strategies and person-centred approaches for all clients (e.g. Gentle Persuasive Approaches)
  • ✓Apply basic principles of crisis prevention as directed by the plan of care
  • ✓Report clients' responses to behavioural strategies and share effective strategies with the interprofessional team
  • ✓Identify, report and record clients' behaviours that are a potential risk to the safety of others
📌

Identify changes associated with addictions and substance use

cognitive

The topic covers identifying changes in clients' behaviour and functioning associated with addictions to substances, gambling or other behaviours.

Key Rules
  • ✓Discuss challenges related to stress, coping and substance use
  • ✓Identify changes in behaviour related to substance use and addiction
  • ✓Identify resources, supports and strategies for clients using or addicted to substances
  • ✓Discuss strategies related to overdose management and prevention within the role of the personal support worker
  • ✓Recognize and support care, intervention and treatment plans of individuals with substance use and addiction behaviours
  • ✓Observe and report client responses to strategies to the appropriate supervisor
  • ✓Discuss the role of the personal support worker and identify when support and intervention is beyond the role
  • ✓Identify, report and record clients' behaviours that are a potential risk to the safety of others
📌

Role of the worker with suicidal ideation and behaviour

cognitive

The topic addresses identifying the personal support worker's role in providing client-centred care for individuals exhibiting suicidal ideation and behaviour.

Key Rules
  • ✓Discuss challenges related to stress, coping and suicidal behaviour
  • ✓Identify factors which can cause suicidal behaviour or self-harm across the life span
  • ✓Describe warning signs and behaviours suggesting risk of suicide or self-harm
  • ✓Identify personal views about suicide and examine how they may affect support provided
  • ✓Recognize possible indicators of suicidal ideations or behaviours and inform the interprofessional team
  • ✓Contact community supports and compile resources as indicated in the plan of care
  • ✓Observe clients' responses to behavioural strategies and share strategies with the interprofessional team
  • ✓Identify, report and record behaviours of clients experiencing suicidal ideation, including risks to others
📌

Signs of change associated with mental health challenges

cognitive

Covers identifying signs of change in clients' perception, memory, judgement, organization, language and motor skills associated with mental health illnesses and how effects vary with severity.

Key Rules
  • ✓Discuss challenges related to stress, coping and mental health challenges and illnesses
  • ✓Discuss the impact of social media on mental health across the lifespan
  • ✓Discuss the stigma associated with mental illness and its impact on self-perception, functioning and quality of care
  • ✓Observe and identify behaviour changes related to mental health and follow the plan of care
  • ✓Identify care, intervention and community resources related to mental health conditions including anxiety and affective disorders
  • ✓Support recovery-oriented approaches
  • ✓Discuss misconceptions and stigma and impact on clients, families and PSWs
  • ✓Discuss the PSW role and when care is beyond the role
  • ✓Discuss impacts of trauma and colonization for Indigenous peoples and relationships between trauma, addictions and mental health
📌

Signs of change associated with cognitive impairment, delirium, dementia

cognitive

Covers identifying signs of change associated with cognitive and intellectual impairments, delirium and/or dementia and how effects vary with severity.

Key Rules
  • ✓Describe how symptoms may impact behaviour, personality, self-perception and interactions
  • ✓Observe and identify behaviour changes and advocate for revisions to the plan of care
  • ✓Identify impairments caused by reversible (treatable) and irreversible conditions
  • ✓Identify factors such as illness, fatigue, stress, sensory overload, pain, fear, frustration and depression affecting functioning
  • ✓Discuss the PSW role and when care is beyond the role
📌

Signs of change associated with acquired brain injuries

cognitive

Covers identifying signs of change associated with acquired brain injuries including strokes and how effects vary with severity.

Key Rules
  • ✓Identify definitions and corresponding symptoms of acquired brain injury including strokes
  • ✓Relate symptoms of acquired brain injury to the function and area of brain injured
  • ✓Identify signs of behaviour change related to acquired brain injuries including strokes
  • ✓Identify management and rehabilitation services
  • ✓Discuss the PSW role and when care is beyond the role
📄

Complete study guide (PDF)

This page covers 80 of 195 topics. The PDF has all 195 — free, printable, no sign-up.

⬇ Download the full PDF

📝 Sample Practice Questions

Question 1
A PSW is caring for a client with advanced chronic obstructive pulmonary disease (COPD) who has a documented care plan indicating a low-flow oxygen prescription. During personal care, the PSW notices the client's lips and fingertips appear bluish, the client is using accessory neck and shoulder muscles to breathe, and they can only speak two to three words between breaths. What is the most appropriate PSW action?
  • A. Increase the oxygen flow rate on the concentrator to relieve the client's distress, then continue with personal care.
  • B. Reassure the client that this breathing pattern is normal for COPD and proceed slowly with the care routine.
  • C. Stop personal care immediately, ensure the client is in an upright position, call for emergency assistance, and stay with the client until help arrives. ✓ Answer
  • D. Offer the client a glass of cold water, encourage slow deep breaths, and monitor for ten minutes before deciding whether to call the supervisor.
Explanation: Cyanosis (bluish discolouration of lips and fingertips), use of accessory muscles, and the ability to speak only two to three words between breaths are signs of severe respiratory distress requiring immediate emergency intervention. A PSW must never independently adjust prescribed oxygen flow rates, as doing so is outside PSW scope of practice and can be dangerous in COPD clients who rely on a hypoxic drive. The correct action is to stop all activity, position the client upright to maximize lung expansion, activate emergency services, and remain with the client to provide reassurance and monitor until help arrives.
Question 2
An older adult client with type 2 diabetes reports numbness and tingling in both feet and tells the PSW that they sometimes cannot feel when their feet touch the floor. The PSW should recognize this as which condition and respond how?
  • A. Diabetic peripheral neuropathy; inspect the client's feet carefully at each visit, ensure safe footwear is worn, and report any skin changes or injuries to the supervisor. ✓ Answer
  • B. Normal aging of the nervous system; reassure the client that decreased sensation in the feet is expected and no special measures are needed.
  • C. Peripheral vascular disease; apply a warm foot soak daily to improve circulation and sensation.
  • D. Deep vein thrombosis; elevate the feet above heart level and massage the calves to restore blood flow.
Explanation: Numbness, tingling, and reduced sensation in the feet in a client with diabetes is consistent with diabetic peripheral neuropathy, caused by chronic high blood glucose damaging peripheral nerves. Because the client cannot feel pain or pressure, injuries can go unnoticed and lead to serious complications including ulcers and infection. The PSW role includes systematic foot inspection at each visit, ensuring properly fitting footwear is worn at all times, and reporting any new skin breakdown, blisters, or wounds to the supervisor promptly. Warm soaks are contraindicated in diabetes due to burn risk, and massage over possible thrombosis sites is contraindicated.
Question 3
A PSW is assisting an older adult client who has rheumatoid arthritis and notices the client's finger joints appear red, warm, and swollen compared to yesterday. The client rates their pain as 7 out of 10. Which action is most appropriate for the PSW?
  • A. Apply a warm compress to the joints and gently perform passive range-of-motion exercises to reduce stiffness.
  • B. Encourage the client to push through the pain during morning care and complete all exercises as scheduled.
  • C. Withhold all personal care activities for the shift and document that the client refused.
  • D. Avoid manipulating the affected joints during care, document the observations, and report the signs of a possible flare to the supervisor. ✓ Answer
Explanation: Redness, warmth, and swelling in a client with rheumatoid arthritis indicate an acute inflammatory flare. During a flare, the PSW must not apply heat or perform exercises on acutely inflamed joints, as this can worsen joint damage. The correct PSW action is to provide gentle personal care avoiding the inflamed joints, document objective observations, and report to the supervisor so the care plan can be adjusted by the appropriate regulated health professional.
Question 4
During an outbreak of influenza in a long-term care home, the facility implements a no-visitation policy and cohorts ill residents. A PSW who is assigned to the outbreak unit asks whether they may also be assigned to the non-outbreak unit the same day to cover a staffing shortage. What is the most appropriate response based on IPAC outbreak principles?
  • A. The PSW may float between units as long as they perform hand hygiene and change their uniform between assignments
  • B. The PSW should not be assigned to both units during an active outbreak, as this risks transmitting the pathogen from the outbreak unit to the non-outbreak unit ✓ Answer
  • C. The PSW may float if they wear a surgical mask throughout their entire shift on both units
  • D. Floating between units is only restricted for PSWs who are showing symptoms of influenza themselves
Explanation: During a declared outbreak, Ontario IPAC and Public Health Ontario guidelines recommend cohorting staff to outbreak units to prevent transmission of the outbreak pathogen to unaffected areas. Even asymptomatic staff can carry and shed influenza virus. Hand hygiene and masking alone do not eliminate the risk of transmission via clothing or indirect contact when moving between outbreak and non-outbreak units. The facility's outbreak management plan should restrict staff movement, and the PSW should communicate the staffing concern to their supervisor rather than floating independently.
Question 5
A PSW is caring for a client in a long-term care home and needs to empty a urinary catheter drainage bag. After donning gloves, the PSW empties the bag into a measuring container and notes the output. What is the correct next step before documenting and moving to the next task?
  • A. Remove gloves, document the output, then perform hand hygiene
  • B. Remove gloves and immediately perform hand hygiene before touching any shared surfaces or documentation tools ✓ Answer
  • C. Keep gloves on while documenting to avoid contaminating the chart with bare hands
  • D. Rinse gloves under running water and proceed to the next client
Explanation: After handling body fluids such as urine, the PSW must remove gloves and immediately perform hand hygiene (Moment 3 — after body fluid exposure risk) before touching any shared surfaces, documentation tools, or other equipment. Wearing gloves while documenting transfers pathogens to shared items. Rinsing gloves is not an acceptable substitute for changing them, as gloves can develop micro-tears and rinsing does not render them safe for subsequent tasks.
Question 6
A PSW in a retirement home is assisting with meal preparation in the common kitchen and notices that a co-worker wiped the counter with a cloth used earlier to clean up raw chicken juice, then used the same cloth to wipe a cutting board for vegetables. What is the primary infection prevention concern with this practice?
  • A. The cloth may spread chemical cleaning product residue onto the vegetables
  • B. The cloth can transfer bacteria such as Salmonella or Campylobacter from raw poultry to ready-to-eat food surfaces, causing cross-contamination ✓ Answer
  • C. Reusing the cloth will reduce its absorbency and make cleaning less effective
  • D. Raw chicken juice contains viruses that can survive on cutting boards for up to 72 hours
Explanation: Cross-contamination occurs when pathogens from a contaminated source (raw poultry, which commonly carries Salmonella and Campylobacter) are transferred to a ready-to-eat food surface via a contaminated cloth or utensil. This is a key food safety and IPAC principle relevant to PSW practice in residential and community settings. The PSW should report this practice and, within scope, use separate cloths or single-use paper towels and ensure surfaces are cleaned and disinfected between tasks.

Ready to practice?

Test your knowledge with exam-style PSW Nursing Care questions.

Start free practice →

More Nursing Care study guides

CNA

Other languages

Français中文EspañolFilipinoTiếng Việtالعربيةفارسی한국어日本語ਪੰਜਾਬੀहिन्दी
Build 2026-10-25 15:16